Evidence map›Paper›PMID 42824895›Full record

ArticleBMJ public health2026

Mental health status of LGBT in Kathmandu, Nepal and the role of victimisation, discrimination, connectedness and identity affirmation: a cross-sectional study.

Puja Bisunke, Laxmi Gautam, Bikash Bahadur Bist

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Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Puja Bisunke *Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.ORCID https://orcid.org/0009-0006-0805-4048
Laxmi Gautam *Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.ORCID https://orcid.org/0000-0003-3926-8912
Bikash Bahadur BistCentral Department of Public Health, Tribhuvan University Institute of Medicine, Maharajganj, Nepal.ORCID https://orcid.org/0009-0002-5352-6244

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lesbian, gay, bisexual and transgender (LGBT) individuals are among the most oppressed, least visible and marginalised groups in Nepal. They endure persistent social marginalisation, harsh discrimination and violence in both public and private settings. Gender-related discrimination, victimisation, rejection, non-affirmation, internalised transphobia, negative expectations and non-disclosure have been linked with mental health problems among LGBT people throughout the world. Methods: This study used a quantitative research method with a cross-sectional, descriptive and analytical design to study the LGBT population in the Kathmandu Valley. The standard tools, Gender Minority and Stress Resilience Measure and Depression, Anxiety and Stress Scale (DASS-21) were used to collect the data of 115 LGBT people through snowball sampling. The collected data were entered and analysed using SPSS IBM V.22. Result: The participants in the study reported experiencing normal, mild, moderate, severe and extremely severe forms of stress (68.7%), anxiety (81.7%) and depression (82.6%) based on DASS-21 severity classification (normal, mild, moderate, severe and extremely severe). The research shows that more than 78% LGBT people faced gender-related discrimination, more than 87% LGBT people faced gender-related rejection and 94.8% faced gender-related victimisation at some point in their lives. The binary and multiple logistic regression analysis found that internalised transphobia is significantly associated with increased odds of stress (adjusted OR (AOR)=2.79, 95% CI 1.14 to 6.83, p=0.024). Similarly, experiencing discrimination (AOR=3.83, 95% CI 1.415 to 10.346, p=0.01), rejection (AOR=4.610, 95% CI 1.129 to 18.818, p=0.033) and stigmatisation (AOR=8.907, 95% CI 0.894 to 88.756, p=0.062) is significantly associated with anxiety. Additionally, experiencing rejection (AOR=6.081, p=0.010, 95% CI 1.541 to 23.992) and stigmatisation (AOR=5.113, p=0.009, 95% CI 1.506 to 17.366) is significantly associated with increased odds of depression. Conclusion: Based on the results of this research, it can be concluded that a high percentage of LGBT individuals experience stress, anxiety and depression, and it is associated with gender-related discrimination, rejection, victimisation and internalised transphobia.

Indexed as

Community HealthMental HealthPublic HealthViolence

Identifiers

PMID42824895
PMCPMC13629924

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.